COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC (EIN 34-6565185)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349307465
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T14:06:50-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341897225EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HILL BARTH & KING LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17680 MARKET STREETAddressLine1
CityBOARDMANCity
StateOHState
ZIP Code44512ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN346565185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone3304247221Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLAddressLine1
CityLISBONCity
StateOHState
ZIP Code44432ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAROL F BRETZName
TitleEXECUTIVE DIRECTORTitle
Phone3304247221Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID J BLASKOName
PTINP00045667PTIN
Phone3307588613Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCAROL F BRETZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLAddressLine1
CityLISBONCity
StateOHState
ZIP Code44432ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12966770GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1965YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE RESOURCES FOR LOW-INCOME, ELDERLY AND DISABLED COLUMBIANA COUNTY RESIDENTS TO OBTAIN THE SKILL, KNOWLEDGE, MOTIVATION AND OPPORTUNITY TO BECOME SELF-SUFFICIENT AND ENJOY A BETTER QUALITY OF LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees228TotalNbrEmployees
Total Nbr Volunteers921TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9631002ContributionsGrantsPriorYear
Contributions Grants Current Year9365815ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3874167ProgramServiceRevenuePriorYear
Program Service Revenue CY3568111ProgramServiceRevenueCY
Investment Income Prior Year349InvestmentIncomePriorYear
Investment Income Current Year126InvestmentIncomeCurrentYear
Other Revenue Prior Year215560OtherRevenuePriorYear
Other Revenue Current Year32718OtherRevenueCurrentYear
Total Revenue Prior Year13721078TotalRevenuePriorYear
Total Revenue Current Year12966770TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7908333SalariesEtcPriorYear
Salaries Etc Current Year7317160SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6010735OtherExpensePriorYear
Other Expenses Current Year5919972OtherExpensesCurrentYear
Total Expenses Prior Year13919068TotalExpensesPriorYear
Total Expenses Current Year13237132TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-197990RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-270362RevenuesLessExpensesCY
Total Assets BOY4565424TotalAssetsBOY
Total Assets EOY4435718TotalAssetsEOY
Total Liabilities BOY1956517TotalLiabilitiesBOY
Total Liabilities EOY2097173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2608907NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2338545NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE RESOURCES FOR LOW-INCOME, ELDERLY AND DISABLED COLUMBIANA COUNTY RESIDENTS TO OBTAIN THE SKILL, KNOWLEDGE, MOTIVATION AND OPPORTUNITY TO BECOME SELF-SUFFICIENT AND ENJOY A BETTER QUALITY OF LIFE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2190475Expense
Revenue2210038Revenue
DescriptionTHE HEAD START PROGRAM PROVIDES A COMPREHENSIVE CHILD DEVELOPMENT PROGRAM TO CHILDREN AGES THREE TO FIVE IN LOW INCOME FAMILIES AND TO CHILDREN WITH DISABILITIES. THE GOALS OF THE RPOGRAM ARE TO ASSURE THAT THE CHILDREN WILL BE PREPARED FOR ENTRANCE INTO KINDERGARDEN AND TO ASSIST PARENTS IN IMPROVING PARENTAL SKILLS. HEAD START ALSO PROVIDES DAY CARE FOR CHILDREN FROM LOW INCOME FAMILIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2541269Expense
Revenue917615Revenue
DescriptionTHE AGENCY'S TRANSPORTATION PROGRAM PROVIDES TRANSPORTATION SERVICES TO COLUMBIANA COUNTY RESIDENTS, INCLUDING PARTICIPANTS IN THE HEAD START PROGRAM. THESE SERVICES ENABLE ELDERLY PEOPLE TO GO SHOPPING, GO TO APPOINTMENTS, ETC. THEY ALSO PROVIDE SERVICES TO DISABLED PEOPLE WHO NEED TRANSPORTATION TO AND FROM WORK.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4007677Expense
Revenue1294740Revenue
DescriptionTHE HEALTH AND DENTAL CENTERS PROVIDE COMPREHENSIVE HEALTH CARE, PRE-NATAL SERVICES AND PREVENTIVE AND RESTORATIVE DENTAL SERVICES TO INFANTS, CHILDREN AND ENTIRE FAMILIES. FEES COLLECTED ARE PRIMARILY PROVIDED BY THIRD PARTY INSURANCE, MEDICAID, MEDICARE AND DIRECT PAYMENTS FROM INDIVIDUALS. SOME FEES ARE BASED ON A SLIDING SCALE, DEPENDING ON INCOME AND FAMILY SIZE. THE AGENCY ALSO RECEIVES A GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES WHICH HELPS COVER FEES AND OTHER COSTS.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
10968041811087THE HOME WEATHERIZATION PROGRAM PROVIDES ENERGY CONSERVATION SERVICES TO LOW INCOME HOUSEHOLDS, INCLUDING INSULATION, FURNACE REPAIR/REPLACEMENT, HOT WATER HEATER REPAIR/REPLACEMENT AND ENERGY EFFICIENT APPLIANCES AND LIGHTING. OTHER PROGRAMS INCLUDE UTILITY ASSISTANCE TO LOW INCOME HOMEOWNERS AND RENTERS, IN-HOME ASSISTANCE AND OTHER SERVICES FOR SENIOR CITIZENS, OTHER HOUSING AND CREDIT/FINANCIAL COUNSELING ASSISTANCE AND SMALL BUSINESS LOANS.
19053756733290OTHER
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3002179TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev8544377TotalOfOtherProgramServiceRev
Total Program Service Expense11741600TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109693NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees228NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWENDY SAULNamePerson
Telephone Number3304247221TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLACEAddressLine1
CityLISBONCity
StateOHState
ZIP Code44432ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
TOM SNOW
TRUSTEE0.50X000
EILEEN DRAY-BARDON
TRUSTEE0.50X000
ZEB LOCKLEAR
TRUSTEE0.50X000
TOM BUTCH
TRUSTEE0.50X000
GLORIA MATHEWS
TRUSTEE0.50X000
JEAN HOLT
TRUSTEE0.50X000
ROBERT HUM
TRUSTEE0.50X000
BRAD BOSLEY
TRUSTEE0.50X000
RAYMOND HULL
TRUSTEE0.50X000
SAVANNAH HUGHES
TRUSTEE0.50X000
PAT BAUMGARNER
TRUSTEE0.50X000
DAWN CHEPKE
SECRETARY0.50000X
WILLIAM MEDFORD
TREASURER0.50000X
MARY ANN GRAY
VICE CHAIR0.50000X
NANCY MILLIKEN
CHAIR0.50000X
DAVID COLA
PHYSICIAN40.0020122808007X
KRISTEN EVAN-HYMES
PHYSICIAN40.0015008504500X
JASON LARUE
DENTIST40.0012009100X
SARA PEASE
NURSE PRACTITIONER40.0012031200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org591716TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation12507TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9365815GovernmentGrants
Total Contributions9365815TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH AND DENTAL REVEDescription
Business Code900099BusinessCode
Total Revenue Column3568111TotalRevenueColumn
Related Or Exempt Function Income3568111RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3568111TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column126TotalRevenueColumn
Related Or Exempt Function Income126RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column32718TotalRevenueColumn
Related Or Exempt Function Income32718RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue32718TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12966770TotalRevenueColumn
Related Or Exempt Function Income3600955RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total591716Total
Program Services591716ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5480710Total
Program Services4965075ProgramServices
Management And General515635ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1244734Total
Program Services1139039ProgramServices
Management And General105695ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48977Total
Program Services47095ProgramServices
Management And General1882ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38850Total
Program Services37357ProgramServices
Management And General1493ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total10028Total
Program Services9643ProgramServices
Management And General385ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total561786Total
Program Services540194ProgramServices
Management And General21592ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total844557Total
Program Services600964ProgramServices
Management And General243593ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total609536Total
Program Services42892ProgramServices
Management And General566644ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total176627Total
Program Services103022ProgramServices
Management And General73605ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLIENT ASSISTANCE16688791683867-14988
SUPPLIES1293749124896744782
MISCELLANEOUS26040222925031152
EQUIPMENT197376295234-97858

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total209205Total
Program Services207285ProgramServices
Management And General1920ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13237132Total
Program Services11741600ProgramServices
Management And General1495532ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20403BOY
EOY157891EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY579512BOY
EOY725147EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY575154BOY
EOY665725EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY632952BOY
EOY656023EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY209429BOY
EOY175436EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY101477BOY
EOY108771EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4880483LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2982297LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2404123BOY
EOY1898186EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY42374BOY
EOY48539EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4565424BOY
EOY4435718EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1321591BOY
EOY1403095EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY324196BOY
EOY382551EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY310730BOY
EOY311527EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1956517BOY
EOY2097173EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2344941BOY
EOY2088517EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY263966BOY
EOY250028EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2608907BOY
EOY2338545EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4565424BOY
EOY4435718EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-270362ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8732481CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10391302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11665515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9631002CurrentTaxYearMinus1Year
Current Tax Year9365815CurrentTaxYear
Total49786115Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years202141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years431660CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year684767CurrentTaxYearMinus1Year
Current Tax Year547061CurrentTaxYear
Total2044051Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8910903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10593443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12097175CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10315769CurrentTaxYearMinus1Year
Current Tax Year9912876CurrentTaxYear
Total51830166Total
FieldValueIRS element (for citing)
Public Support Total17051830166PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year349CurrentTaxYearMinus1Year
Current Tax Year126CurrentTaxYear
Total13542Total
FieldValueIRS element (for citing)
Total Support51843708TotalSupport
Public Support Pertcentage1700.99970PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99970PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance2763BeginningBalance
Ending Balance2763EndingBalance
Included On FS0IncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1284019OtherCostOrOtherBasis
Depreciation527724Depreciation
Book Value756295BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1386300OtherCostOrOtherBasis
Depreciation1111340Depreciation
Book Value274960BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2210164OtherCostOrOtherBasis
Depreciation1343233Depreciation
Book Value866931BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1898186TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt13513831TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities547061DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990547061RevenueNotRptdF990
Revenue Subtotal12966770RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012966770TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13784193TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities547061DonatedServicesUseOfFacilities
Expenses Not Rptd F990547061ExpensesNotRptdF990
Expenses Subtotal13237132ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013237132TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationPART X, LINE 2: THE AGENCY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AGENCY ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 AND HAS DETERMINED THAT ALL INCOME TAX FILING POSITIONS WOULD BE SUSTAINED UPON EXAMINATION AND, ACCORDINGLY, HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 FOR UNCERTAIN TAX POSITIONS. THE AGENCY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH FEW EXCEPTIONS, THE AGENCY IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID COLA
PHYSICIAN201228000008007000209235000
KRISTEN EVAN-HYMES
PHYSICIAN150085000004500000154585000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99092696NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionCLASSROOM SUPPLIESDescription
Number Of Contributions311NumberOfContributions
Noncash Contribs Rptd F99014970NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE DRAFT FORM 990 IS PREPARED BY THE INDEPENDENT AUDITING FIRM. IT IS REVIEWED BY THE AGENCY'S FINANCE DIRECTOR AND EXECUTIVE DIRECTOR FOR THEIR APPROVAL. IT IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. A MOTION IS MADE TO APPROVE THE SUBMISSION. THE FINAL FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS ARE TRAINED DURING THEIR ORIENTATION ABOUT DISCLOSING CONFLICTS OF INTEREST. DURING MEETINGS, THEY ARE DIRECTED TO ABSTAIN FROM ANY POTENTIAL, REAL OR PERCEIVED CONFLICTS OF INTEREST. THE ABSTENTIONS ARE DOCUMENTED IN THE MEETING MINUTES. UPON EMPLOYMENT, EMPLOYEES MUST SIGN A CONFLICT OF INTEREST POLICY. THE POLICY IS BEING UPDATED TO REQUIRE DISCLOSURES YEARLY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS APPROVES ALL SALARIES. A PROPOSAL IS PREPARED BY AGENCY PERSONNEL WHICH UTILIZES SALARY COMPARABILITY DATA. THIS PROPOSAL IS REVIEWED BY THE EXECUTIVE DIRECTOR WHO RECOMMENDS IT TO THE BOARD. THE BOARD REVIEWS THE PROPOSAL, DELIBERATES, AND ACTS ON THE PROPOSAL.
FORM 990, PART VI, SECTION C, LINE 18COPIES OF THE 990 ARE AVAILABLE UPON REQUEST AND ON GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE AGENCY'S GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OBTAINING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE AUDIT.

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